Healthcare Provider Details

I. General information

NPI: 1932552924
Provider Name (Legal Business Name): OHIO HEARING & VISION PROFESSIONALS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S COUNTY ROAD 1
TIFFIN OH
44883-9746
US

IV. Provider business mailing address

1500 S. COUNTY ROAD 1
TIFFIN OH
44883
US

V. Phone/Fax

Practice location:
  • Phone: 419-443-0710
  • Fax: 419-443-0576
Mailing address:
  • Phone: 419-443-0710
  • Fax: 419-443-0576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number2823
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2891T2834
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANDREA ERIN YOUNG
Title or Position: OWNER
Credential: ACA, BC-HIS, ABOC
Phone: 419-443-0710